Chapter 219 Return to North District
Wu Xiaofu did not resist anything, and was led by the patient to touch the patient's abdomen.
Hmm!
It was a mass, a mass that appeared in the upper abdomen. Excluding the epidermal mass, in Wu Xiaofu's opinion, there was only one possibility, and that was an enlarged liver.
Normally, people cannot actually touch the liver. Once they touch it, it must be pathological manifestations of the liver. Progressive liver enlargement will only be touched directly, which can cause liver enlargement. , or a lot.
No matter which one it is, you need to check it before you know it.
“How long has it been?”
“I have been feeling uncomfortable for more than a month. I only felt this bag this week. I thought it was inflammation at first, so I drank some. Anti-inflammatory drugs, but they had no effect at all. I was still sick. I checked online and found that it was a liver problem, so I quickly called you.
By the way, my son follows your blog. Usually a lot of content is pushed to us.”
This is another patient recommended by a blog fan. Wu Xiaofu knows that it is indeed a liver problem. As for jaundice, it is most likely due to an enlarged liver and oppression. When it reaches the biliary tract, obstructive jaundice occurs.
There are many reasons that can cause this symptom, such as primary liver cancer, benign liver tumors, liver abscesses, parasites or non-parasitic cysts, and cirrhosis and portal hypertension can also cause it.
Place one hand on the patient's pulse. In the concept of traditional Chinese medicine, tumors are called stagnation. Whether they are benign or malignant, stagnation is manifested in the pulse, but the pulse in front of you does not look like a manifestation of stagnation. .
So, tumor diseases can actually be ruled out, that is, liver cancer, which is the situation that patients are most worried about. In fact, it can be preliminarily ruled out, as for the remaining conditions.
The patient has no history of hepatitis and was very healthy before. Cirrhosis of the liver should not exist.
“A month ago, did you go somewhere or eat something unusual?”
"I'm just about to tell you that I just came back from traveling in the northwest, and this happened. Do you think it has anything to do with it? I ate a lot of things there that I couldn't usually eat. Mostly beef and mutton.”
Wu Xiaofu knew that this migratory disease was actually more representative.
There was no rush to make a diagnosis. Color ultrasound and blood tests were prescribed for the patient, and the patient was asked to go for examination first.
After Wu Xiaofu saw seven or eight patients, the patient came back.
Looking at the ultrasound performance.
A cyst appeared on the liver. The shape of the cyst was quite regular. It looked almost round. The wall was relatively thick, and the border was clear and smooth. The daughter cyst could also be seen inside the cyst, and active light spots could be seen in it.
Activity Spotlight!
There is also enhanced echo around the lesion, which indicates that the cyst is solid, and there are moving light spots, which indicates that there is something inside the cyst.
What could it be!
There is only one possibility that it manifests in the liver, hepatic echinococcosis. Combined with the patient’s previous travel history, it can be basically determined. In the East China Sea, hepatic echinococcosis is basically not seen. Generally, Most of them are seen in the northwest region.
Many people who travel and migrate are prone to this disease.
"You have hepatic echinococcosis and need surgery. Please leave your phone number and I will ask the doctor in the department to contact you later. If a bed is available, you can move in."
The patient's The onset time is not long. Hepatic echinococcosis is still mainly treated by surgery. Just remove the internal cyst. As long as the surgery is complete, there will generally be no recurrence.
Hepatic hydatid disease!
Surgery!
The patient's expression also changed at this time. He didn't expect that he would need surgery. However, it was better than expected. Before he came, he was prepared for cancer. Now this hepatic echinococcosis is still acceptable. , at least it’s not a disease.
However, when he read Wu Xiaofu's blog, he also learned about this disease. It was caused by bugs in the liver. He heard that it was not easy to cure and could easily relapse.
"Dr. Wu, is this easy to cure?"
"Don't worry, you came here early. It's actually better to do the surgery as soon as possible. We did it laparoscopically, and the recovery is fast. He can be discharged from the hospital within days, but he cannot delay. If the condition progresses, it will be difficult to say. "
After hearing Wu Xiaofu's words, the patient did not dare to delay, and quickly thought of being hospitalized. Hospitals may scare patients into admitting them for surgeries in order to get surgeries, but the First Affiliated Hospital is different. There is no shortage of patients or surgeries here, so there is no need for this.
Therefore, it is said that surgery is required. People who understand it will not think about being conservative.
There is no empty bed in Corey now, so Wu Xiaofu continues to see patients.
By the time I got off work in the evening, the number of patients had exceeded one hundred.
Wu Xiaofu is also a loser because he sees quickly. Those who can do without examination are basically not allowed to do so. Those who can avoid being hospitalized are basically treated at home. In this way, he also saw that at 7 p.m. many.
“Let’s go, I’ll take you to dinner.”
Take Peng Xia with you and prepare to reward him.
In the restaurant, each person has a bowl of noodles.
"Director Duan, I have already told you that two teachers in the emergency department who went out to study have returned. You can report to me next week."
Peng Xia was pleasantly surprised when he heard this I raised my head and waited for more than a month, and the wait was really here.
"Thank you, boss. After I enter the department, I will work hard to live up to your cultivation of me."
No one who can enter a specialty will stay in the emergency department, especially young people. After all, the development prospects of the emergency department are much worse than those of other specialties.
On Saturday, Wu Xiaofu made appointments for four liver transplant surgeries, all of which were completed quickly. Now in the Hepatobiliary Surgery Department, Wu Xiaofu’s liver transplant surgery priority has been raised to the top level, whether it is hospital arrangements or Patient selection has allowed Wu Xiaofu to accumulate more and more liver transplants here.
This made Wu Xiaofu pay more and more attention to the research on the circulatory system of human organs.
In Binan Medicine, Wu Xiaofu asked Wu Nanqing to help open another laboratory, specializing in studying the human organ circulatory system. With Wu Xiaofu's technical support, the progress was good.
The research on the gene sequence of rectal cancer is also progressing at a gratifying rate. Every time Wu Nanqing talks on the phone, she happily tells Wu Xiaofu about this matter. After all, if this is done, the Wu family can also make a leap in medicine. Reach the top level.
A powerful group must develop in an all-round way, which made Wu Nanqing unhappy.
Sunday.
Wu Xiaofu came to the fire detachment.
This time, not only Lin Jiang and others will bring people to listen to Wu Xiaofu’s speech, but also all the fire stations in the detachment will come to participate. Of course, not all of them can come, but which issues are more serious and necessary to listen to, basically Will not miss this time.
Wu Xiaofu stood on the podium, and below him was a black and flaming blue.
Even the few psychiatrists who came to listen were wearing military uniforms at this time.
They all looked at Wu Xiaofu with bright eyes. They had all read the book and gained a lot, both in terms of gains and feelings. This time they heard that Wu Xiaofu was going to give a speech. Most of these firefighters were Voluntarily.
Now they are also looking forward to Wu Xiaofu’s speech.
Wu Xiaofu also looked at these faces, most of which were younger than himself, with smiles on their faces. Because of the nature of the speech, this speech was destined not to be an impassioned impromptu speech, nor would it be anything. A passionate performance that arouses emotions.
Wu Xiaofu used a soft and silent language to make everyone present begin to examine the side of themselves that is hidden deep in their hearts and cannot be forgotten, but is difficult to forget.
Then it’s simple. It doesn’t matter whether the chicken soup is hot chicken soup or poisonous chicken soup. As long as it works, it is good chicken soup.
The fear and pain caused by facing the abyss are not worth mentioning in the face of chicken soup.
Most of these firefighters burst into tears at the end of a speech. If you feel it carefully, you can find that the tears do not represent pain, but rather like a redemption. The whole person is full of tears. Much more relaxed at this moment.
Even the psychiatrists looked at Wu Xiaofu in horror after the speech, because even they were affected, and their souls seemed to have been baptized. With this kind of ability, they were too Familiar.
Nearly all top psychiatrists have this ability, but it is all one-on-one. Wu Xiaofu directly targeted an entire conference room, hundreds of people in total. How was this done? ?
Wu Xiaofu also smiled when he looked at his results. In fact, they were not as powerful as they thought. The speech was only a small reason for today's success. What was really impressive was Wu Xiaofu's book.
What are you thinking about when you face the stars?
I believe that everyone who can sit here has read his book, and from the time they read this book, they already have the foundation to be influenced by Wu Xiaofu. Today’s speech is just a Just an introduction.
After the speech, Wu Xiaofu left, and the psychiatrists forgot to ask Wu Xiaofu the questions they had prepared before.
Duan Zhenyu looked at Wu Xiaofu with amazement in his eyes. Fortunately, this kind of talent is a doctor and a kind doctor who is willing to help patients. Otherwise, if he flows into society, he cannot imagine how much impact Wu Xiaofu can have on society. Influence.
Duan Zhenyu has also seen Wu Xiaofu's results today.
Every word of thanks is not enough to express Duan Zhenyu’s mood at this time. With Wu Xiaofu here, the situation of the fire brigade will be ten times better in the future. Wen Xinhan really recommended it to him A talent that benefits the entire firefighting industry.
Wednesday.
The surgery for patients with hepatic echinococcosis was immediately scheduled to begin, with Wu Xiaofu performing the surgery.
Wu Xiaofu took special care of this patient, so he was hospitalized very quickly. The illness was prioritized. For example, this patient could not stay for two days after the operation, so he could arrange hospitalization for surgery first, and it was indeed delayed. No.
If the surgery is performed earlier, the cyst can be removed only. If the cyst breaks open and invades the entire liver, the entire liver may need to be removed, and even liver resection cannot stop it. Therefore, Wu Xiaofu advised the patient to be hospitalized for surgery as soon as possible.
Peng Xia is an assistant, and this guy has already entered the college.
For this reason, Wu Xiaofu treated Duan Hao to several meals. After all, Duan Hao was seduced by Wu Xiaofu and took away a good young man.
Drilling, pneumoperitoneum, and endoscopic placement.
There are conditions for choosing laparoscopic surgery for hepatic hydatid disease. The most important thing is the size of the cyst cavity. It is best to choose laparoscopic surgery when the diameter of the hepatic hydatid cyst cavity is less than 10cm.
If it is larger than 10cm, there is a high possibility that the cystic cavity is connected to the intrahepatic bile duct. In this case, complications such as bile leakage are likely to occur after the operation, and the operation will be more difficult. During the operation, including The sac is also prone to rupture and a series of infections can occur.
Then there is the location of the hydatid, which is deep in the liver or posterior. Because the cyst cavity is not easy to expose, it is not suitable for laparoscopic surgery.
The situation of this patient is pretty good. He was discovered early. The diameter of the cyst cavity was only 7cm according to the color ultrasound report. There was no co-infection of the hydatid cavity. Many cases were discovered later and the hydatid cyst cavity was only 7cm. It may be connected to the bile duct. Whether such a situation is performed laparoscopically or through incision, bile leakage is likely to occur after surgery, and the surgical operation will also be difficult because of the heavy adhesions between surrounding organs and the hydatid cyst.
Therefore, although hepatic echinococcosis is a benign lesion, the difficulty of surgery is no less than that of liver cancer.
Choosing to do it laparoscopically raises the difficulty of the operation to another level. Laparoscopic hepatic hydatid cyst internal cyst removal has strict requirements for surgical indications and high surgical technical level.
The operation is inconvenient. If there is leakage of cyst fluid during the operation, it will be worse than no operation. This bug is not only parasitic in the liver.
The mirror provides a field of view, and the electrosurgery and forceps enter the abdominal cavity. Wu Xiaofu quickly found the location of the cyst cavity. Without hesitation, he started to perform dissection and resection. With Wu Xiaofu’s current operating proficiency, there is basically no need to worry. The cyst cavity will be broken during the operation.
Under Peng Xia's gaze, soon, a complete cystic cavity was peeled off by Wu Xiaofu, protected by a bag, the incision was expanded, the cystic cavity was taken out, and the liver surface was trimmed. The powerful After mental exploration, there was no cavity that could escape Wu Xiaofu's eyes.
The trouble with hepatic echinococcosis is that it may not just be a cyst, but may also have other sources of parasites, which are just not seen on color ultrasound. In this case, surgery cannot remove it. The chance of recurrence later is very high.
Of course, this situation does not exist here in Wu Xiaofu.
The whole process only takes an hour.
The neatness still makes Peng Xia happy. Yesterday, he heard that Wu Xiaofu asked him to set up the stage. Peng Xia prepared for half a night, but seeing Wu Xiaofu complete the operation so smoothly, Peng Xia couldn't help but smile bitterly. Even though No matter how well prepared he was, it would still be impossible to reach Wu Xiaofu's level.
The boss is progressing so fast. He almost watched Wu Xiaofu take off on a rocket. It was so scary.
Wu Xiaofu, no matter what Peng Xia thinks, with one more person in the team, many tasks will be carried out more smoothly. There are more people working, more work can be done, and everything will go smoothly. many.
After the clinic on Friday, Wu Xiaofu handed over everything to Zhang Xuewen and Chen Zhendong. He will leave back to the North District tomorrow.
When I arrived in Donghai in July, it was already mid-November. In four months, Wu Xiaofu had not gone back even once. I really thought, he had grown so big. It was the first time to come to such a far place, and the first time to leave the North District for so long. Now that he was finally going back, Wu Xiaofu had a rare insomnia due to excitement.
The next day, before Wu Xiaofu got up, he was awakened by the ringing of the doorbell. He came to the door with sleepy eyes. Good guy, Su Yu came with a big bag and a small bag. Look at the time, six o'clock. Six o'clock.
"Su Yu, you are crazy, this is only six o'clock, our flight is at ten o'clock."
Su Yu didn't care about that and threw the things in.
"Brother, you don't love me anymore. Why don't you answer my call? Do you know how I brought these things up alone? Oh, I'm so tired."
Wu Xiaofu looked at the luggage on the ground .
Two suitcases and a backpack, "Are you going to celebrate the New Year? We will be back in a few days. Why are you bringing so many things? Besides, we will go down in a while. You can put your things away Why did you bring it here?”
“It’s like, oh, if I had known, I would have put it in the car first. I’m so stupid. I’m so excited, my prairie. The cows and sheep are in the wind. I haven't slept well this night. You go and wash up. I'll go and take a nap first."
Wu Xiaofu felt a little a little bit when he saw his quilt being taken over like this. Speechless, he shook his head. He had no choice but to wash up.
Just rinse it with water, wipe it with a towel, and apply oil, and it's done within five minutes.
“Have you had breakfast?”
“Brother, please watch and do it.”
What an ancestor!
Go to the kitchen and start cooking, fried rice with milk, Wu Xiaofu’s favorite, Wu Xiaofu is a master at making egg fried rice, everyone loves it, everyone who takes the first bite wants the second bite, make breakfast Okay, pull Su Yu up to eat.
I didn't expect this guy to actually fall asleep.
"It's time to eat. After eating, let's go to the airport."
Su Yu lost sleep after smelling the aroma of rice, her eyes flickering, "Brother, how lonely are you sleeping alone? I will move later Come and live with you, as long as you cook breakfast for me every day.”
Good guy, this is a big mistake in Wu Xiaofu’s face. I live in his house and want him to cook. , why don’t you go to heaven?
“The beauty you want.”
"Brother, I have a secret. If you promise me, I will tell you."
"I don't want to know."
Ah!
Su Yu felt that her mental illness was on the verge of breaking out. What, it’s good to be a little curious. There will be times when this bad brother will regret it.
Airport.
A beautiful figure stood outside the airport, her hair blowing in the wind, which made people couldn't help but take a few more glances. It actually became a scenery of the airport, but the beautiful figure's eyes fell on the entrance, as if she was waiting for something.
“Is it almost there?”
“Right away.”
“You didn’t tell your brother, right?”
“That’s for sure, What a strict mouth I have.”
Wu Xiaofu took Su Yu's big and small bags into the airport sidewalk. He saw a beautiful figure in the distance and laughed heartily. After throwing away the big and small bags, Wu Xiaofu ran over.
The warmth is soft in your arms, and the winter wind is also warm.
"Ugh, I can't breathe."
Wu Xiaofu let go of Qu Ying, "You didn't tell me why you came back, I'll pick you up."
Faced with her boyfriend's accusation, Qu Ying pouted, "I want to give you a surprise. How about it? Is it a surprise?"
"What a surprise. Fortunately, you didn't tell me. If you had told me, I would have had insomnia last night."
Su Yu brought the big and small bags over and looked at the tired two people, rolling her eyes to the sky. Went.
"Hey, it's almost done. There are still people here. The dog food is enough to feed them."
Wu Xiaofu looked at Su Yu.
“Do you know?”
"I know, but I won't tell you. Who told me not to agree to this morning?"
Wu Xiaofu now knew what the secret Su Yu was talking about. Give this child a blow on the head and hug her directly. When Qu Ying entered the airport, Su Yu felt even more aggrieved, "You're being stupid. I'll sue my second uncle for you. Wait, my luggage, my luggage, please help me carry my luggage. It's so heavy."
Su Yu looked at the luggage in her hands and became even more angry. There was also an extra bag belonging to Wu Xiaofu. Wow, it’s inhumane to have people of the opposite sex.
Flying from Donghai to Bei District takes less than three hours.
After getting off the plane, Qu Ying and Su Yu clearly felt the difference in temperature. Qu Ying was okay. After all, although the Imperial Capital was warmer than the Northern District, it also belonged to the north. The temperature difference would not be too big. But Su Yu was different. Well, luckily I listened to Wu Xiaofu and changed into two thick clothes.
"Brother, where should we go first?"
"Your second uncle is here to pick us up, let's go out first."
Sarina is still taking care of Wuman in the imperial capital, but Wu Bin is focused on his career. , returned to the North District early, and now Wu Bin is doing prosperously in his career. With the help of Wu Xiaofu's shareholder style, the North District has also started a tourism craze. With the efforts of the North District Culture and Tourism Bureau, it has directly started the construction of hundreds of tourist attractions, most of which are Already put into operation.
After all, most of these scenic spots are based on grasslands and do not require much construction. Under the premise of ensuring safety, they can be used in just one circle, and Wu Bin has focused his career on tourism. superior.
Not only does it include many tourist attractions, but also the supporting horse farms, hotels, accommodations, specialty sales, etc. are all doing very well, and it has also started real estate. It has to be said that Wubin is the best in business. Professional.
In just a few months, I made a lot of money.
Two weeks ago, I said I would pay off the mortgage for Wu Xiaofu. This time I heard that Wu Xiaofu was coming back. I was very happy. I probably didn’t sleep well yesterday.
"Dad (second uncle, uncle)."
Outside the airport, Wu Xiaofu and the others saw Wu Bin at a glance. Don't tell me, this career is really a man's second spring. Look at it. , Wu Bin is simply radiant now.
"How are you? Are you tired? Let's go eat first. Xiaoyu and Xiaoying, it's your first time here. I'll take you to eat some of the best local food. Xiaofu, you go drive. ”
Oops! What a dear son.
Don’t mention it, along the way, I felt that there were indeed a lot more people in the North District. Wu Xiaofu had never seen so many people in the North District before. After all, it is the north. It is definitely a vast land and sparsely populated. My heart is You can actually see people on the street.
And at first glance, many of them are not local. After all, locals are not so happy to go out. Moreover, their skins are also different, and their heights are also different. It is still obvious from the north to the south.
"Dad, the tourism in North District is really good now."
"Yes, Director Qin has told me about you several times, saying that he will wait for you to come back and personally Thank you. You deserve half of the credit for my business. However, you have also suffered a lot from us in the North District. House prices have increased a lot.”
On the dinner table.
Su Yu had only heard Wu Xiaofu say how hard it was to eat in the North District before, but now she really understood it. A table full of big meat, um, the siomai is really good, every bite is oily, this is a meal Damn, how many days will it take to lose weight? Woohoo, it’s delicious.
Lin Bei got married on Sunday and started busy today. When he knew that Wu Xiaofu was back, he quickly called Wu Xiaofu for help. After all, Wu Xiaofu was still the best man and had to try on clothes and other things.
"Oh, my Master Wu, you are finally willing to come back."
(End of this chapter)